I have been one of Adam Harkeiwicz patients for about a year now. He's an awesome PA and really takes the time to understand my skin concerns. I have a rare skin condition and he was the only provider I found in LV who completely understands it and has made it much more manageable. He's always will to try new things to help and I'm so happy I found him. I've even trust him with my cosmetic needs- he's done an amazing job on my Botox!! I would definitely recommend Adam for all of your cosmetic and dermatology needs. He's AWESOME and SMART!